| Sankofa Love Llc | |
|
17 Academy St Ste 1008 Newark NJ 07102-2927 | |
| (973) 692-8609 | |
| Not Available |
| Full Name | Sankofa Love Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17 Academy St Ste 1008, Newark, New Jersey |
| Authorized Official Name and Position | Regina Fitch (CEO) |
| Authorized Official Contact | 9736928609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sankofa Love Llc 368 Broad St Apt 317 Newark NJ 07104-3870 Ph: () - | Sankofa Love Llc 17 Academy St Ste 1008 Newark NJ 07102-2927 Ph: (973) 692-8609 |
| NPI Number | 1093567976 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093567976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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